Active NPI
Charleston Medical Center Pharmacy
- Community/Retail Pharmacy
- Charleston, WV
National Provider Identifier
1386723062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- SP0550648
- Legal business name
- CHARLESTON MEDICAL CENTER PHARMACY
- Doing business as
- Charleston Medical Center Pharmacy
- Practice address
- 3100 Maccorkle Ave SE
Ste 100
Charleston, WV 25304-1223 - Phone
- (304) 344-8021
- Fax
- (304) 344-0655
- NPI assigned
- Nov 3, 2006
- Last updated
- Apr 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Bartsch, RPH
- Title
- Pharm
- Phone
- (304) 344-8021
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | SP0550648 | WV | Primary |
| Specialty Pharmacy | 3336S0011X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
3100 Maccorkle Ave SE
Ste 100
Charleston, WV 25304-1223
Mailing address
3100 Maccorkle Ave SE
Ste 100
Charleston, WV 25304-1223
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5001588 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 8504598 | Medicaid | WV | |
| 00143130000 | Medicaid | WV |
Other names 1
- CHARLESTON MEDICAL CENTER PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Charleston, WV
- NPI 1720121593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239062400000",
"number": "1386723062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE",
"address_2": "STE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE",
"address_2": "STE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041223",
"telephone_number": "304-344-8021",
"fax_number": "304-344-0655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLESTON MEDICAL CENTER PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2009-04-07",
"status": "A",
"authorized_official_last_name": "BARTSCH",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PHARM",
"authorized_official_telephone_number": "304-344-8021",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WV",
"license": "SP0550648",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5001588",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8504598",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00143130000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHARLESTON MEDICAL CENTER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, WV
- Charleston Hospital, Inc. (Hospitalists of Saint Francis)
- Charleston Infusion Services, LLC (Vital Care of Charleston, WV)
- Charleston Internal Medicine Inc
- Charleston Internal Medicine, Inc
- Charleston Medical Associates, PLLC
- Charleston Medical Center, Inc.
- Charleston Medical Supplies
- Charleston Neurology Assc Inc
- Charleston Orthopedic Appliances Inc (Charleston Orthpedic)
- Charleston Pain Management Consultants, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.